LAUREN ELIZABETH ELLSWORTH NPI 1811417272

NPI Information

NPI: 1811417272
Provider Name: LAUREN ELIZABETH ELLSWORTH
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
444 HOSPITAL WAY STE 477
POCATELLO, ID
ZIP 83201
Phone: (208) 233-7832
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Lauren Elizabeth Ellsworth is a peer specialist in Pocatello, ID. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Lauren Elizabeth Ellsworth NPI is 1811417272. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

444 HOSPITAL WAY STE 477
POCATELLO, ID
ZIP 83201-744
Phone: (208) 233-7832

The enumeration date for this NPI number is 6/26/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist		CPSS415	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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